| Matthew David Brockway, | |
|
1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | |
| (702) 346-0800 | |
| Not Available |
| Full Name | Matthew David Brockway |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1301 Bertha Howe Ave Ste 1, Mesquite, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861079097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO3623 (Nevada) | Primary |
| Entity Name | Mesquite Clinic Management Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548800501 PECOS PAC ID: 8123456456 Enrollment ID: O20200319000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew David Brockway, 3100 N Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128-0431 Ph: () - | Matthew David Brockway, 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 Ph: (702) 346-0800 |
Mr. Joseph Jeppa Jeppson, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Bertha Howe Ave 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Enrique Alfaro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Dr. Gilbert Blancarte, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 786 W Pioneer Blvd Ste 1, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Gladys Kodjoe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 Phone: 702-345-3312 Fax: 702-345-3374 |